Question

Discussion Topics, Mohr

Chapter 30, Substance Use Disorders

Discussion Topics	Learning Objective
1. While caring for a patient with substance abuse issues, you begin to evaluate your own opinions regarding abused substances. Do you have different attitudes about someone who is addicted to/dependent on prescription drugs compared with someone who is addicted to/dependent on alcohol or street drugs? Have you ever experienced any adverse consequences related to the use of a substance? Write about your feelings related to alcohol and substance abuse. Speculate how these feelings may influence your work as a nurse with clients who are substance-dependent? What is the incidence and prevalence of substance use disorders?	1, 2
2. Randy is a 43-year-old man who has been a heavy drinker since the age of 25. Because of his dependency on alcohol, he has a hard time keeping a job and has been divorced twice. He has decided to go to a treatment center to try and overcome his addiction. While in a group therapy session, Randy states, “I don’t know why I drink, my father did too. I guess I learned it from him.” What etiological factors are believed to be influential over substance abuse behaviors?	3
3. Shannon has suffered from Major Depressive Disorder for five years. She has used various types of controlled substances over the years and due to the amount she has used, she needs larger and larger doses in order to achieve a “high.” What are the effects of the different controlled substances and what are the symptoms of an overdose? What is a co-morbid disorder? What is the incidence of co-occurring disorders? What is the significance of recognizing Shannon has having a co-occurring disorder? What two main components of interdisciplinary treatment are you likely to see used with this patient and why?

Answer 1

Answer ;-(1)

Substance abuse

Substance abuse involves the chronic use of alcohol and drugs. A person who abuses alcohol has a greater risk of using at least one other substance, such as marijuana, cocaine and heroin. Prolonged consumption of drugs and alcohol increases your tolerance, therefore requiring more of the substance to achieve the same desirable effects.

Drug dependence occurs when you need one or more drugs to function. The American Psychiatric Association (APA) used to distinguish between dependence and abuse. Misuse was considered the mellow or early period of unseemly medication utilize that prompted reliance. Individuals saw reliance as a more extreme issue than maltreatment.

The APA supplanted "reliance" and "misuse" with "substance utilize scatter" in the 2013 release of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This finding centers around the confusion including the utilization of the substance.

Liquor and substance misuse can begin as a gentle issue and step by step transform into more serious issues. For instance, a man may blend little measures of liquor with a medication. After some time, their body ends up reliant on the synthetic concoctions discharged by every substance and starts longing for additional. After you've assembled a resilience to the two substances, you may build the sum expended with the end goal to abstain from encountering uneasy withdrawal side effects. In these cases, a few people may swing to more addictive substances – heroin, cocaine and euphoria – to encounter a heightened high.

Perceiving the notice indications of liquor and substance misuse is critical to getting encourage early. Whenever left untreated over a significant lot of time, issues with drinking and medications can heighten and progress toward becoming hazardous.

Drug and Alcohol Problem

While some symptoms of alcohol and drug abuse are noticeable and can be caught early on, others may not be as recognizable. Warning signs sometimes go unnoticed when an individual hides their drinking and drug problem.

Because of the disgrace and antagonistic meanings related with liquor and medication misuse, numerous individuals may deny they have an issue by any stretch of the imagination. In these conditions, it tends to be troublesome for dear loved ones to set up an intercession and get their cherished one the assistance they merit.

Here are a few inquiries to recognize whether you or a friend or family member might experience the ill effects of liquor and medication misuse:

• Have you felt disturbed by the worry or feedback of your liquor or medication use by everyone around you, similar to relatives, companions, an associate or educator?
• Have you ever thought of reducing your drinking or drug intake?
• Have you felt guilt over your drug and alcohol consumption?
• Do you find yourself craving a drink and other substances periodically throughout the day?
• In the last year, have you failed to meet an obligation because of drinking and drugs?
• Have you or someone else been injured due to your alcohol and drug abuse?

Dangers of Drug and Alcohol Abuse

Contingent upon the measure of liquor and kind of medication devoured, you can encounter a variety of hurtful reactions. Since liquor is a depressant, blending it with another medication can be adverse for your wellbeing.

Here are the most widely recognized medication and liquor blends, and in addition their particular perils:

Cocaine and Alcohol

Cocaine and liquor utilize is a standout amongst the most well-known blends among medication clients in view of the amazing high that the two substances deliver. Cocaine is a stimulant that expands your pulse, pulse and sharpness. This enables liquor to achieve the mind speedier. Blending cocaine and liquor causes cocaethylene, which produces serious sentiments of joy. Other hazard variables of consolidating cocaine and liquor incorporate heart assault, overdose or passing.

Heroin and Alcohol

Both heroin and alcohol are depressants which can cause similar side effects. One of the most dangerous risks of depressants is slowed breathing. When you consume heroin with alcohol, these breathing problems can be even more serious and life-threatening.

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